Lu Xi-Chun May, Chen Ren-Wu, Yao Changping, Wei Hans, Yang Xiaofang, Liao Zhilin, Dave Jitendra R, Tortella Frank C
Department of Applied Neurobiology, Division of Psychiatry and Neuroscience, Walter Reed Army Institute of Research , Silver Spring, MD 20910, USA.
J Neurotrauma. 2009 Jan;26(1):141-54. doi: 10.1089/neu.2008.0629.
Glycine-proline-glutamate (GPE) is an N-terminal tripeptide endogenously cleaved from insulin-like growth factor-1 in the brain and is neuroprotective against hypoxic-ischemic brain injury and neurodegeneration. NNZ-2566 is an analog of GPE designed to have improved bioavailability. In this study, we tested NNZ-2566 in a rat model of penetrating ballistic-type brain injury (PBBI) and assessed its effects on injury-induced histopathology, behavioral deficits, and molecular and cellular events associated with inflammation and apoptosis. In the initial dose-response experiments, NNZ-2566 (0.01-3 mg/kg/h x 12 h intravenous infusion) was given at 30 min post-injury and the therapeutic time window was established by delaying treatments 2-4 h post-injury, but with the addition of a 10- or 30-mg/kg bolus dose. All animals survived 72 h. Neuroprotection was evaluated by balance beam testing and histopathology. The effects of NNZ-2566 on injury-induced changes in Bax and Bcl-2 proteins, activated microgliosis, neutrophil infiltration, and astrocyte reactivity were also examined. Behavioral results demonstrated that NNZ-2566 dose-dependently reduced foot faults by 19-66% after acute treatments, and 35-55% after delayed treatments. Although gross lesion volume was not affected, NNZ-2566 treatment significantly attenuated neutrophil infiltration and reduced the number of activated microglial cells in the peri-lesion regions of the PBBI. PBBI induced a significant upregulation in Bax expression (36%) and a concomitant downregulation in Bcl-2 expression (33%), both of which were significantly reversed by NNZ-2566. Collectively, these results demonstrated that NNZ-2566 treatment promoted functional recovery following PBBI, an effect related to the modulation of injury-induced neural inflammatory and apoptotic mechanisms.
甘氨酸 - 脯氨酸 - 谷氨酸(GPE)是一种在大脑中从胰岛素样生长因子 -1 内源性切割产生的 N 端三肽,对缺氧缺血性脑损伤和神经退行性变具有神经保护作用。NNZ - 2566 是 GPE 的一种类似物,其设计目的是提高生物利用度。在本研究中,我们在穿透性弹道型脑损伤(PBBI)大鼠模型中测试了 NNZ - 2566,并评估了其对损伤诱导的组织病理学、行为缺陷以及与炎症和凋亡相关的分子和细胞事件的影响。在初始剂量反应实验中,损伤后 30 分钟给予 NNZ - 2566(0.01 - 3 mg/kg/h×12 小时静脉输注),通过在损伤后 2 - 4 小时延迟治疗但添加 10 或 30 mg/kg 的推注剂量来确定治疗时间窗。所有动物存活 72 小时。通过平衡木测试和组织病理学评估神经保护作用。还检查了 NNZ - 2566 对损伤诱导的 Bax 和 Bcl - 2 蛋白变化、活化的小胶质细胞增生、中性粒细胞浸润以及星形胶质细胞反应性的影响。行为学结果表明,急性治疗后,NNZ - 2566 剂量依赖性地使足部失误减少 19% - 66%,延迟治疗后减少 35% - 55%。虽然总体损伤体积未受影响,但 NNZ - 2566 治疗显著减轻了中性粒细胞浸润,并减少了 PBBI 损伤周边区域活化小胶质细胞的数量。PBBI 诱导 Bax 表达显著上调(36%),同时 Bcl - 2 表达下调(33%),而这两者均被 NNZ - 2566 显著逆转。总体而言,这些结果表明,NNZ - 2566 治疗促进了 PBBI 后的功能恢复,这一作用与对损伤诱导的神经炎症和凋亡机制的调节有关。